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PERMITTEE NAME/ADDRESS pwrrJ.F.rUrryNrn/ternen I/D(~i.~.nq <br />NAME T ~t~PFEfZ i'~iTiVTNO, TN~C. <br />ADDRESS TET~`iI~P~F: i1TIw1E <br />i~ . t'~. B I~ X :1.87 <br />~^Ee'~aTG OQ B.~.L-,r~ <br />FACILITY -I'I~,~PPER I'1:~i~l~ <br />LOCATION C ~ ~ T O ::, C3 8 S, ~~ ra <br />n -rvw~. a-f nlif.a rt t.rry n v~tr ~ ~-~e^~vr. rya-~tc'C tf~Mi <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SY9TEM (/NPDESI <br />DISCHARGE MONITORING REPORT /OMR/ <br />CD ~ c '"} ~ <br />PERMIT NUMBER asCHARGE NtxaeER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM t~ 7 ? O O ~ TO 07 ~ ~ 31 <br />MTNDR <br />{ 8UE3F~ JC ~ <br />d~1~8T T~ aT T IVG I= i:il: ~~"'..1 Y'9 <br />Form Approved. <br />OMB No. 2040-0004 <br />P'lDF~7 <br />4c•#•tf 1140 DISCI°1~1f~0~ I~I ### <br />NOTE: Rsad Instructlom bsftxs complstinp this form. <br />PARAMETER ., 4UANTITY OR LOADING QUALITY OR CONCENTRATION Np, FREQUENCY <br />of SAMPLE <br /> EX TYPE <br /> ANALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />I~C50 ST:~tT~tE ~?•81~~11~ ~,CL <br />C~~TDi}APF-11~IT~ SAMPLE <br />MEASUREMENT ##~##•~• #~•##•!••i.• G <br />,/~/~~ ~•#•Ir~•~•x -tk~•#### ( X33 <br />~ l <br />9O <br />~~~~ <br />, <br />T~,t~l3>~ ~ {) O PERMIT #-tf~~#-t~# ##i#x.#:: ### f'.~(~. `..`)tw)wi,+,, ###•3£•#•# #'k#~#it- ~'~^~- )-~~C..~° zi'c~~~ <br />~F'T'Ll.~~i~T GEC©8S tJ~,d~kJ ItEOUIaEMENY ~•##•~ Ml~i 'JAL ~ !~ : ~i~fT <br />L..C~r(3 STt~TPE ~bF-II~ ~sCl SAMPLE ###~;-~# #-',~##•;;t•# ~/~~.' C ###i:•## ###### i r3) /1 <br />{ <br />/ y /~ <br />C~ <br />~ ~ IVI~~H~1L~S MEASUREMENT . <br />Tfwhlf~G 2 O O ''::;PI°RMIl' #•tt•###?t •~~ ###~- •~•## i Jt~. ~©~} 1 -~#•~#~# ###### ~~~?•-• `~ F?l..'~ ~~Z~i~ <br />~l~'~'I._4..11~1~1"i" CRC[ISS `1Jt~l..~,d FiEt1l11REMEN7 ##•~•~ 1~11~! "vaALi.lF CErI(T <br /> SAMPLE <br /> MEASUREMENT <br /> _:as~RN11T <br /> ~tE<lUIREMEN7! <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ia~auia~M~NY <br /> SAMPLE <br /> MEASUREMENT <br /> ::> ~;PERMIT's: <br /> l!~tllllFtlfil~N'F` <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT"::;:;;; <br /> >R~~iuR~MIN <br /> SAMPLE <br /> MEASUREMENT <br /> 'PERMIT <br /> ftEf]UIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t ~^"r u «pena ly o lew met. thh document and an attachments were <br />stem desi <br />ervMon In aecordanae wllh .s <br />ned <br />tb <br />m <br />dl <br />d <br />d TELEPHON E DATE <br /> <br />/ <br />~ ~• ~ <br />~ y <br />` <br />p <br />rec <br />n or <br />en <br />er my <br />prepare <br />to more that quaHlled personnel P~~7 bather and erdude the Inrormatlon <br />Based on mr Inquiry of the person or penoro who rruna`e the erstem, <br />snbmltted <br />,, <br />~v ~ <br />~ <br />~ <br />/ . <br />or those persoro directly resporolbk for ptherin` the Inrormallon, the Information '/ <br />~ <br />~ /~/{~ <br />~ <br />/ <br />~ /~ <br />~?~ ~~ ~ //" r ff ~~ <br />S.. <br />~ submitted Is. to the bnt of my knowkd~e and beNef, True. accunle, and mmpkle. IONATLRE OF PRINCIPAL EXECUTIVE . <br />~© ~~ ~~ L <br />7 /~ l t/ / <br />• <br />' 1 am await tbat there are slpollant penaltla for mbmlldn{ hbe Inforrmtlon, E <br />nPED OR PRINTED <br />Intludln` the possiDltity orllne and ImprHonment for knowln~ .IdaUom. <br />OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rs/~rsncs mr •rracnmsnra narai <br />SEA T. ~. 5, P~'. 6. a~, i°'pFi t~~Tf-TLS ~7F TIrST F~F~~C~:F~UR.~. i~~F'8fiT LC5t:7 - STs~TTSTT~AL. ~'C:ITIEIT IwSTTI"I~`zT'~ -sJt-lTC~i TS <br />L;`THAL_ TC7 ~O% C3F" TIw,~aT OFdOlal'~iT~t`~S, l~f4ip r~e"fT~C(-i ~4Ct;1T~ -fC1XTCT1"~ TlE=.~.1T I»t~€'QE~T ~C3€:I"E TCl %?~il~. t~ii-E~~+fi Ir;~T T~BTII~i(~ i`~4QT <br />~~ tt , tt <br />~.~I~ PAGE ~pF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. OO~t ~ r3 ~C~,~~~` ~Tiwf~~' I <br />